{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:59:16Z","timestamp":1790816356761,"version":"4.1.0"},"reference-count":28,"publisher":"American Academy of Pediatrics (AAP)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Pediatric readmissions and postdischarge emergency department (ED) visits are common measures of postdischarge use and vary across pediatric conditions. Although often studied separately, these outcomes represent a continuum of hospital reuse. We introduce the ED\/READ ratio (the ratio of postdischarge ED visits to readmissions) to characterize diagnosis-specific patterns of hospital reuse across common pediatric conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>In this single-center retrospective cohort study, we included children aged 0 to 17 years discharged from an urban tertiary children\u2019s hospital between July 2016 and December 2019. We included primary All-Patient Refined Diagnosis-Related Groups comprising 1% or more of admissions. The primary outcome was the 30-day ED\/READ ratio, calculated as the number of all-cause postdischarge ED visits divided by the number of all-cause readmissions within 30 days of discharge, computed for each diagnosis with 95% CIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Among 16\u2009518 hospitalizations from 11\u2009728 patients, the overall 30-day postdischarge ED visit rate was 8.1% and the readmission rate was 9.2%. The 30-day ED\/READ ratio ranged from 0.08 (95% CI, 0.05\u20130.12) for chemotherapy to 2.41 (95% CI, 1.50\u20133.33) for tonsil and adenoid procedures. Diagnoses with ratios significantly more than 1 included asthma, bronchiolitis and respiratory syncytial virus pneumonia, and gastroenteritis; ratios less than 1 included chemotherapy, sickle cell anemia crisis, and seizures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>The ED\/READ ratio is a descriptive metric that complements traditional measures by characterizing diagnosis-specific patterns of postdischarge reuse across care settings. Used alongside existing metrics, the ratio may help generate hypotheses about diagnosis-specific targets for improvement. Further research is needed to evaluate its reproducibility and applications across diverse settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/hpeds.2025-009083","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:02:17Z","timestamp":1784592137000},"page":"889-895","source":"Crossref","is-referenced-by-count":0,"title":["Ratio of Postdischarge Emergency Department Visits to Readmissions by Diagnosis"],"prefix":"10.1542","volume":"16","author":[{"given":"Jimin","family":"Lee","sequence":"first","affiliation":[{"name":"1Department of Pediatrics, Weill Cornell Medicine, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa J.","family":"Fazzari","sequence":"additional","affiliation":[{"name":"2Albert Einstein College of Medicine, Bronx, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arti D.","family":"Desai","sequence":"additional","affiliation":[{"name":"3Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika L.","family":"Abramson","sequence":"additional","affiliation":[{"name":"1Department of Pediatrics, Weill Cornell Medicine, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline","family":"Sterling","sequence":"additional","affiliation":[{"name":"4Department of Medicine, Weill Cornell Medicine, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L.","family":"Rinke","sequence":"additional","affiliation":[{"name":"5Department of Pediatrics, Children\u2019s Hospital at Montefiore and Albert Einstein College of Medicine, Bronx, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"issue":"10","key":"2026093020001354300_r1","doi-asserted-by":"crossref","first-page":"618","DOI":"10.12788\/jhm.3210","article-title":"Progress (?) 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